Organization
LITTLE PINE PEDIATRICS PLLC
Active
Parent organization
LITTLE PINE PEDIATRICS
Other names
Little Pine Pediatrics of Madison
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE PINE PEDIATRICS
Authorized official
DR. RONALD EMERICK JR. DO (OWNER)
(855) 577-5437
Entity
Organization
Contact information
Practice address
194 NE HANCOCK AVE, MADISON, FL 32340-2546
(850) 253-2275
Mailing address
1702 S JEFFERSON ST, PERRY, FL 32348-5611
(855) 577-5437
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
HCC10208
FL
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001165802
—
FL
Enumeration date
10/12/2012
Last updated
02/08/2016
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